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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Modern management of pheochromocytoma
Sanjay Kasturi1, Alexander Kutikov, Thomas J Guzzo
1Division of Urology, Department of Surgery, University of Pennsylvania Medical Center, 9 Penn Tower, 3400 Spruce Street, Philadelphia, PA 19104, USA.
Background:
A 55-year-old male with poorly controlled hypertension and a history of coronary artery disease presented with a large adrenal mass. The patient also reported a long-standing history of profuse sweating, tinnitus, vomiting and headaches.
Investigations:
Physical examination, 24-hour urine metanephrine level, CT, MRI and bone scan.
Diagnosis:
Pheochromocytoma of the left adrenal gland.
Management:
Preoperative alpha-blockade therapy with phenoxybenzamine followed by open left adrenalectomy.
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